LONDON BOROUGH OF LEWISHAM

DIRECTORATE FOR CUSTOMER SERVICES

APPLICATION FOR PREMISES TO BE APPROVED AS A VENUE FOR CIVIL PARTNERSHIPS IN PURSUANCE OF SECTION 6 (3A)(a) OF THE CIVIL PARTNERSHIP ACT 2004

This application must be made by the proprietor, or a trustee of the premises. When made on behalf of a limited company there should be a separate statement of the names and addresses of all the directors.

This form when completed must be forwarded to the Proper Officer for Licensing Matters at 4thFloor, Laurence House, 1 Catford Road, LondonSE6 4RU, together with the appropriate fee, (Annex G), payable to the London Borough of Lewisham.

1.I/We apply for the premises named at item 2 below to be approved for the registration of civil partnerships.

2.I/We attach 3 copies of a plan of the premises showing all the room(s) in which it is intended that civil partnerships will take place and exit routes therefrom.

3.I/We understand that:-

(a)The premises will be inspected for suitability before approval is granted and, if this application is successful, may be subject to subsequent inspection;

(b)Public notice of the application will be given by advertisement in a newspaper with a period of three weeks allocated for objections to be lodged;

(c)Approval, if granted, will be for a three year period, subject to the local authority’s right of revocation;

(d)The premises must satisfy the local authority on fire precautions and health and safety provisions.

  1. I/We …………………………………………………………………………….

(Name)

………………………………………………………………………………….

(Position – Trustee/Proprietor){complete the appropriate section below}

(a)attach the written consent of ……………………………………………………………………………………………………………………………………………………………

(Name & address of the person specified or governing body), or

(b)confirm that consent is not required.

(c)If the premises are shared with other faith groups or Churches then ensure that sections (d) and (e) are completed (as many times as necessary as appropriate below:-

(d)attach the written consent of

.…………………………………………………………………………………………………………………………………………………………………(Name & address of the person specified or governing body), or

(e)confirm that no consent is required

Where you have stated that consent is not required (in respect of one or more users) please complete the declaration below.

The Statement(s) in paragraph (b) and/ or (e) is/are true to he best of my knowledge and belief

…………………………………………………………………………………………………

Signed (applicant)

5I declare that :-

(a)I have read and understood the information contained in this form and Annexes B and D to this guidance;

(b)the premises are not a register office (or, where a register office is situated in the premises that is not the room that is the subject of this application);

(c)I have consulted the planning authority as to whether planning consent is required and attach, where it is required, that it is content that the premises may be used for civil partnerships.

6I further declare that, if approval is granted I will comply with the standard conditions (Annex D to this guidance) and any local conditions that the authority considers reasonable that are attached to the approval

Signatureof applicant ………………………………………………….…………

Date …………………………………………………………………………..…….

Interest in premises ………………………………………………………………..

Address for correspondence and telephone number

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1. Full names and private addresses of applicant.
If the application is made by a limited company (or other incorporated business) please give the address of the registered office and where different the main trading address of the company
2.Name, postal address and telephone number of the premises which are the subject of this application.
3.If the premises are certified for religious worship under the Places of Worship Registration Act 1855 or registered for the solemnisation of marriages under the marriage Act 1949, then please quote the certification/registration number.
4.Please describe the nature of the premises at question 2 (e.g. ParishChurch, Synagogue) and the primary and other uses to which it is regularly put.
5.If the premises are shared with other faith groups, then please state the details of any sharing arrangements, either formal or informal.
  1. Is the person or company named in reply to question 1 the trustee/proprietor of the premises

  1. If the answer to question 6 above is ‘No’ and there is another person qualified as trustee or proprietor, please give their name(s) and address(es)

  1. Please state here the maximum number of people permitted to occupy each room in which the proceedings are intended to be held under your fire risk assessment.

9.Do the premises currently have the benefit of a Premises Licence under the Licensing Act 2003 which may be relevant to this application (e.g for the provision of regulated entertainment). If so please attach a copy.

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